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Etiqueta: Destino de redirección modificado |
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| ==Management==
| | #REDIRECT [[Ethanol withdrawal]] |
| ''Start aggressive [[Benzodiazepines|Benodiazepine]] therapy at CIWA score of 8. Consider ICU admission with score >20''
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| ===[[Benzodiazepines]]===
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| *[[Diazepam]] (Valium) 5-10mg IV (depending on severity)
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| **May repeat q5-10min for severe withdrawal (double dose until desired effect achieved)
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| *[[Lorazepam]] (Ativan) 1-4mg IV (depending on severity)
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| **May repeat q15-20min for severe withdrawal (titrated to effect)
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| **Rarely causes hepatitis, as opposed to diazepam which may cause a cholestatic hepatitis<ref>National Institute of Diabetes and Digestive and Kidney Diseases. Lorazepam Drug Record. http://livertox.nih.gov/Lorazepam.htm</ref>
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| ===Alpha-2 agonists ([[Dexmedetomidine]])===
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| *Decrease severity of sxs, but only supplemental to GABA-ergic first-lines
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| * Dexmedetomidine drip, start 0.2 mcg/kg/min, likely needing no more than 0.7 mcg/kg/min
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| ===[[Barbituates]] ([[Phenobarbital]])===
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| *Used when refractory to [[benzodiazepines]]
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| * [[Phenobarbital]] 130-260 mg IV q 15-20 minutes
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| ==External Links==
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| ==References==
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| <references/>
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